Presbycusis

Definition

Presbycusis is gradual hearing loss in both ears that commonly occurs as people age. This form of gradual hearing loss can be mild, moderate, or severe. Presbycusis that leads to permanent hearing loss may be referred to as nerve deafness.

With presbycusis, hearing loss is usually very gradual, affecting both ears equally.

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done. The doctor will perform a visual exam of your ear canal and eardrum with a lighted instrument called an otoscope.

Treatment

Talk with your doctor about the best treatment plan for you. Treatment options include the following:

Hearing Aids and Assistive Listening Devices

If it is determined that a hearing aid may be useful, the audiologist will conduct several tests to determine the type of hearing aid that will best improve hearing of speech. The extent of benefit varies according to the cause and degree of hearing loss. Sometimes hearing aids will need to be replaced with other models if hearing loss progresses. Some people with presbycusis may benefit from telephone amplifiers that help hear speech on the telephone.

Cochlear Implants

For certain people with very severe hearing loss that is not improved by a simple hearing aid, a
cochlear implant
device may improve sound generation to the brain. It may provide partial hearing to the profoundly deaf.

Prevention

To help reduce your chance of presbycusis, take the following steps:

Follow treatment plans that help manage health conditions that may cause hearing loss.

Avoid repeated exposure to loud noises and sounds of any type, including those at work, home, and during recreation.

When working with loud machinery or in loud environments, wear protective ear plugs or ear muffs.

If you smoke, talk to your doctor about how you can quit.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.